Active NPIIndividual provider

Elmo R Randolph, DMD

Dentist, General Practice in Orange, New Jersey

NPI Number1073762530
Practice location
462 S Harrison St, Orange, NJ 07050-3115
Fax
973-676-5020
Last updated
September 9, 2008

Elmo R Randolph is a Dentist, General Practice based in Orange, NJ. Elmo R Randolph practices in Orange, NJ and has the professional credentials of DMD. The NPI Number for Elmo R Randolph is 1073762530 and holds a License No. 14034 (NJ). The current practice location address for Elmo R Randolph is 462 S Harrison St, Orange, NJ 07050-3115 and can be reached out via phone at 973-674-8180 and via fax at 973-676-5020.

Provider Profile Details

NPI Number
1073762530
Provider Name
Elmo R Randolph
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
462 S Harrison St, Orange, NJ 07050-3115
Phone Number
973-674-8180
Fax Number
973-676-5020
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
September 9, 2008
Last Update Date
September 9, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
462 S Harrison St
Orange, NJ 07050-3115
City
Orange
Zip
07050-3115
Phone Number
973-674-8180
Fax Number
973-676-5020
Orange, NJ 07050Get directions →

Provider Business Mailing Address Details

Address
462 S Harrison St
Orange, NJ 07050-3115
City
Orange
State
NJ
Zip
07050-3115
Phone Number
973-674-8180
Fax Number
973-676-5020

License Information

License Number
14034
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elmo R Randolph, DMD?

The NPI number of Elmo R Randolph, DMD is 1073762530. It was assigned on September 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Elmo R Randolph, DMD?

Elmo R Randolph, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 14034.

Where does Elmo R Randolph, DMD practice?

The practice location is 462 S Harrison St, Orange, NJ 07050-3115. The office can be reached at 973-674-8180 (phone) or 973-676-5020 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073762530 directly on the NPPES registry website.

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